Individual
KAREN STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1173 GRASSY OAT LN, LAWRENCEVILLE, GA 30045-5496
(404) 922-4729
Mailing address
PO BOX 466842, LAWRENCEVILLE, GA 30042-6842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000844
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW000844
GEORGIA LICENSE
GA
Enumeration date
02/19/2020
Last updated
02/19/2020
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